Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $239.88	Facility		$114.82	$114.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $218.78	Professional		$89.13	$114.82	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,445.44 / $3,162.28	Facility		$630.96	$1,445.44	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $389.05	Professional		$177.83	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $416.87 / $1,000.00	Facility		$263.03	$416.87	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $338.84	Professional		$169.82	$213.80	$338.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $776.25	Facility		$323.59	$398.11	$776.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $263.03	Professional		$165.96	$165.96	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $338.84	Facility		$165.96	$251.19	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $407.38	Professional		$125.89	$229.09	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,412.54	Facility		$1,000.00	$1,023.29	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $371.54	Professional		$131.83	$239.88	$371.54